Provider Demographics
NPI:1609061670
Name:SALINAS FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:SALINAS FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-562-6661
Mailing Address - Street 1:1381 N 7TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE
Mailing Address - State:IL
Mailing Address - Zip Code:61068-2319
Mailing Address - Country:US
Mailing Address - Phone:815-562-6661
Mailing Address - Fax:815-561-9900
Practice Address - Street 1:1381 N 7TH ST STE C
Practice Address - Street 2:
Practice Address - City:ROCHELLE
Practice Address - State:IL
Practice Address - Zip Code:61068-2319
Practice Address - Country:US
Practice Address - Phone:815-562-6661
Practice Address - Fax:815-561-9900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009242261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL211792OtherMEDICARE PROVIDER ID
IL07127308OtherBLUECROSS ID
ILY35774Medicare UPIN
ILK18105Medicare PIN